№ lp_1_2_68766
File format: docx
Character count: 7079
File size: 245 KB
Structured log form for recording trips to medical appointments covered by Medicaid, including patient, provider, and reimbursement information.
Year:
2017
Region / City:
Lake St. Louis, MO, USA
Document Type:
Form / Log
Organization:
MTM, Inc.
Target Audience:
Medicaid members
Purpose:
Trip reimbursement for medical appointments
Submission Deadline:
Within 60 days of first appointment
Contact Phone:
1-888-513-0703
Language Availability:
English, Spanish
Revision Date:
February 20, 2017
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Note:
Year
Agency / Organization:
Department of Homeland Security
Note:
Year
Subject:
Workplace Safety
Document Type:
Training Material
Target Audience:
Employees
Year:
2023
Region / City:
San Lucas, Guatemala
Topic:
Short-Term Missions, Orphanage Operations
Document Type:
Information Packet
Organization:
Casa Shalom Orphanage
Author:
Josh and Jess Hanson
Target Audience:
Short-Term Missions Teams
Period of Activity:
Ongoing
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2017
Region / City:
Not specified
Subject:
TRANSSC meeting, working groups, radiation protection, packaging, transportation matters
Document Type:
Meeting Report
Organization / Institution:
International Atomic Energy Agency (IAEA)
Author:
Not specified
Target Audience:
Member States, IAEA experts, technical groups
Period of validity:
Not specified
Approval Date:
Not specified
Date of last update:
Not specified
Year:
2022
State:
South Carolina
Subject:
Student health care on school-sponsored field trips
Document type:
Guidance manual
Developed by:
SC School Nurse Program Advisory Committee
Audience:
School nurses and school district staff
Geographic scope:
Public school districts in South Carolina
Legal framework:
Applicable federal and South Carolina state laws and Board of Nursing guidance
Scope:
Nursing-related processes for planning and conducting field trips
Disclaimer:
Not endorsed by any government agency in South Carolina
Note:
Year
Region / City:
Maine
Topic:
Medical Marijuana Transportation
Document Type:
Form
Organization / Institution:
Maine Medical Use of Marijuana Program
Target Audience:
Registered caregivers, dispensaries, marijuana testing facilities, manufacturing facilities
Note:
Year
Year:
2024
Region / City:
Yumbarra Conservation Park, Yellabinna Wilderness Protection Area, Googs Track
Theme:
Environmental Survey, Conservation
Document Type:
Report
Organization:
Department for Environment and Water (DEW)
Author:
Peter Wilson
Target Audience:
Conservationists, Environmental Researchers, Outdoor Enthusiasts
Period of Validity:
2024
Approval Date:
N/A
Date of Changes:
N/A
Note:
Year
Topic:
Event Planning, Trip Organization
Document Type:
Guidance
Organization / Institution:
Student Opportunities Team, Bournemouth University
Target Audience:
Society Committee Members
Description:
A detailed guidance document outlining the steps and paperwork required for organizing events and trips within a student society, including risk assessments, budgeting, ticketing, and submission of proposals.
Year:
2019
Destination:
Guatemala
Departure Location:
Los Angeles (LAX)
Payment Requirement:
Non-refundable $250 deposit with completed application
Included Services:
Round-trip flights from/to LAX (unless self-booked), 3-star hotels (double occupancy), daily breakfast lunch and dinner, airport transfers, bus transportation, English-speaking guides, tips, service charges, site entry fees, visas and border fees where required
Excluded Services:
Snacks, personal expenses, 3% credit card fee for final payment, single occupancy room, Global Entry/TSA Pre-Check
Accommodation:
3-star hotels or best available, double occupancy, Wi-Fi in most hotels
Transportation:
Comfortable bus, airport transfers
Passport Requirement:
Passport valid at least 6 months after return date
Health and Safety:
Monitoring of travel advisories; guidance on food and water safety
Physical Requirements:
Ability to walk up to 3 miles daily on uneven terrain and manage personal luggage
Luggage Policy:
One 22-inch wheeled bag and one backpack or tote; possible assignment of team bag up to 50 lbs
Climate:
Warm temperatures (80–90°F)
Suggested Cash Amount:
$300
Phone Communication:
Wi-Fi usage recommended; WhatsApp or Viber suggested for calls and texts
Year:
2016
Region / City:
Vientiane City, Bolikhamxay Province
Topic:
Polio outbreak response, vaccination campaign
Document Type:
Trip Report
Organization:
Ministry of Health, UNICEF, WHO
Author:
Ellen A. Coates, Independent Consultant
Target Audience:
Health professionals, government agencies, international organizations
Effective Period:
October 6, 2015 – ongoing
Approval Date:
February 3, 2016
Modification Date:
Not specified
Year:
Not specified
Region / City:
Arizona
Topic:
Vehicle registration, Single trip permit
Document type:
Statute
Agency / Institution:
Department of Transportation
Author:
Not specified
Target audience:
Vehicle owners/operators
Effective period:
Not specified
Approval date:
Not specified
Amendment date:
Not specified
Year:
2016
Location:
Philadelphia, PA, USA
Target Group:
8th and 10th grade US Government students
Proposed Dates:
October 10–11, 2016
Proposed Cost:
$175–$200
Minimum Number of Students:
40
Maximum Number of Students:
80
Minimum Number of Parents:
6
Maximum Number of Parents:
15
Accommodation:
Wyndham Philadelphia Historic District, 400 Arch Street, Philadelphia, PA 19106
Transportation:
Huber’s Bus Service, 55-passenger charter bus
Activities:
Eastern State Penitentiary tour, Constitutional Walking Tour, National Constitution Center visit, Scavenger Hunt, Spirits of ’76 Ghost Tour
Meals:
Breakfast and lunch included; optional group dinner at City Tavern
Itinerary Type:
Two-day educational field trip
Educational Focus:
US Government, American history, Philadelphia historical sites
Year:
2020
Region / City:
Salt Lake City, Utah
Subject:
Geology
Document Type:
Field Trip Report
Organization / Institution:
Salt Lake Community College
Author:
Wanda Benally
Target Audience:
Students of Geology
Period of Effect:
July 23, 2020
Approval Date:
July 23, 2020
Date of Changes:
Not specified
Year:
2023
Region / City:
Cork, Ireland
Theme:
Society activities, student development, international travel
Document Type:
Proposal form
Organ / Institution:
University College Cork (UCC)
Author:
Societies Officer
Target Audience:
UCC society members, society trip organizers
Period of Validity:
Until trip approval
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Year
Topic:
Medicaid Services, People with Disabilities, Case Management
Document Type:
Guide
Organization / Institution:
Oregon Department of Human Services (ODHS)
Target Audience:
Case Managers, Social Workers, Healthcare Providers
Year:
2024
Region / City:
Oregon
Theme:
Medicaid, Long-Term Services & Supports
Document Type:
Checklist
Agency / Institution:
Oregon Department of Human Services (DHS)
Author:
Not specified
Target Audience:
Eligibility Case Managers, Oregon ACCESS users
Period of Action:
Not specified
Approval Date:
9/11/24
Modification Date:
9/11/24
Year:
2023
Region / City:
United States
Topic:
Medicaid, 340B Program
Document Type:
Instructional Form
Organization:
HRSA (Health Resources and Services Administration)
Author:
HRSA
Target Audience:
Covered entities, contract pharmacies, Medicaid providers
Effective Period:
Ongoing
Approval Date:
March 5, 2010
Modification Date:
December 12, 2014
Year:
2023
Region / City:
Oregon
Topic:
Medicaid, Health Care Programs
Document Type:
Guide
Agency / Institution:
Oregon Project Independence
Author:
Oregon Department of Human Services
Target Audience:
Health care providers, Medicaid recipients
Effective Period:
Ongoing
Approval Date:
N/A
Amendment Date:
N/A
Year:
2023
Region / city:
Washington State
Topic:
Medicaid Alternative Care (MAC), Tailored Supports for Older Adults (TSOA), Family Caregivers
Document type:
Policy Description
Organ / institution:
Washington State Department of Social and Health Services (DSHS)
Author:
Resa Lee-Bell, Adrienne Cotton
Target audience:
Unpaid family caregivers, healthcare professionals, Medicaid recipients
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Note:
Description of the document